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Individual
PAUL E MITCHELL
Active
Individual
PAUL E MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F330472
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109491BF
PREFERRED CARE
—
01
—
P019330472
BLUE CHOICE
—
Enumeration date
09/06/2006
Last updated
07/08/2007
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